Postgraduate Student of the Master Program in Forensic Sciences, University of Pernambuco (UPE), Recife, Pernambuco, Brazil.
Postgraduate Student of the PhD Program in Dentistry, University of Pernambuco (UPE), Recife, Pernambuco, Brazil.
J Oral Maxillofac Surg. 2021 Jul;79(7):1492-1506. doi: 10.1016/j.joms.2021.02.028. Epub 2021 Feb 24.
This article consists of a systematic review of the literature, which verified whether the use and types of helmets reduce the occurrence and severity of facial fractures in hospitalized motorcyclists after traffic accidents.
Prevalence studies and cohort studies, published in Latin American languages with no restrictions on publication dates, were considered. Two authors independently screened reference lists for eligible articles, assessed them for inclusion criteria, and extracted the data using a specific form. Twenty-six articles were selected, all prevalence studies.
The patients who used a helmet had a lower prevalence and severity of facial fractures, compared to patients who did not wear a helmet. There were no differences in the occurrence of lower third fractures between patients who used or did not wear a helmet at the time of the trauma; as well as in meta-analysis of occurrence and severity of facial trauma between helmet types (open or closed).
It can be concluded that the use of helmet leads to a lower number of fractures and severity of trauma when compared to nonuse. Regarding the type of helmet, there was no difference in the occurrence and severity of facial fracture in individuals who used closed or opened helmets.
本文对文献进行了系统回顾，以验证在发生交通事故后，头盔的使用和类型是否能降低住院摩托车骑手面部骨折的发生率和严重程度。
我们考虑了发表于拉丁美洲语言的、无出版日期限制的患病率研究和队列研究。两名作者独立筛选参考文献，评估其是否符合纳入标准，并使用特定表格提取数据。共选择了 26 篇文章，均为患病率研究。
与未戴头盔的患者相比，使用头盔的患者面部骨折的发生率和严重程度较低。在创伤时使用或未使用头盔的患者中，下三分之一骨折的发生率没有差异；头盔类型（开式或闭式）对面部创伤发生率和严重程度的荟萃分析也没有差异。
与不使用头盔相比，使用头盔可导致骨折数量减少和创伤严重程度降低。关于头盔类型，使用闭式或开式头盔的个体的面部骨折发生率和严重程度没有差异。
